Organization Active NPI

Greensboro Nephrology

  • Nephrology Physician
  • Greensboro, GA
National Provider Identifier
1396733465
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
GREENSBORO NEPHROLOGY
Practice address
1220 Siloam Rd
Greensboro, GA 30642-2810
Phone
(706) 433-0683
Fax
(706) 369-1478
NPI assigned
Oct 12, 2005
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Kristy W Duncan
Title
Billing Specialist
Phone
(706) 433-0683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1220 Siloam Rd
Greensboro, GA 30642-2810

Mailing address

PO Box 390
Greensboro, GA 30642-0390
Phone (706) 433-0683

National Provider Directory

National Provider Directory

Locations

1220 Siloam Rd
Greensboro, GA 30642
Phone (706) 453-7222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1396733465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306420390",
            "telephone_number": "706-433-0683",
            "fax_number": "706-369-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422810",
            "telephone_number": "706-433-0683",
            "fax_number": "706-369-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO NEPHROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "706-433-0683",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.